Individual provider Active NPI

Francesco John Barbarossa, OD

  • Optometrist
  • Kenmore, NY
National Provider Identifier
1407853369
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV006854 Issued in NY
Practice address
3750 Delaware Ave
Kenmore, NY 14217-1002
Phone
(716) 874-2455
Fax
(716) 874-5775
NPI assigned
Jul 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV006854 NY Primary

Addresses

Primary practice location

3750 Delaware Ave
Kenmore, NY 14217-1002

Mailing address

3750 Delaware Ave
Kenmore, NY 14217-1002
Phone (716) 874-2455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041013000094 NY Practitioner - Optometry 4385604511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ashvani K Gulati M D P CGroup PAC ID 0143402388, 2 clinicians

Practice addresses (Care Compare)

3750 Delaware Ave
Kenmore, NY 14217-1002
Phone (716) 874-2455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV006854NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ashvani K Gulati MD PC Optometrist CurrentSince Feb 1, 2011 Accepting new patients
Kenmore Eye Care Inc. Optometrist Past Accepting new patients
Kenmore Eyecare Inc. Optometrist Past Accepting new patients

Locations

3750 Delaware Ave
Kenmore, NY 14217
Phone (716) 874-2455

Interoperability endpoints

  • Direct secure messaging: fbarbarossa@buffaloeyecenter.medentdirect.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1407853369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 DELAWARE AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171002",
            "telephone_number": "716-874-2455",
            "fax_number": "716-874-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 DELAWARE AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171002",
            "telephone_number": "716-874-2455",
            "fax_number": "716-874-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBAROSSA",
        "first_name": "FRANCESCO",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-06",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenmore, NY

Sources for this page

Verify at the official NPI Registry.